And oriented x4 - Study guides, Class notes & Summaries

NURS217: Health Assessment in Nursing / Fundamentals - ATI PRACTICE TEST A A nurse in an emergency department is caring for a client. Physical Examination 1200: Influenza with nausea, vomiting, and diarrhea for 3 days. Client is tachycardic, hypotensive, and tachypneic, with weak pulses, dry mucous membranes, poor turgor, and oliguria. Plan: Admit for IV fluids. Vital Signs 1200:Temperature 38.4° C (101.1° F) Heart rate 126/min Respiratory rate 28/min BP 92/54 mm Hg Oxygen satu...

(Answered) NUR303 Heart Failure Case Study: JoAnn Smith, 72 years old Woman. Heart Failure JoAnn Smith, 72 years old Primary Concept Perfusion Interrelated Concepts (In order of emphasis) 1. Gas Exchange 2. Fluid and Electrolyte Balance 3. Clinical Judgment 4. Patient Education 5. Communication 6. Collaboration © 2016 Keith Rischer/www.KeithRN.com UNFOLDING Reasoning Case Study: STUDENT Heart Failure History of Present Problem: JoAnn Smith is a 72-year-old woman who has a histor...

How to assess Level of Consciousness? 1a. Deteremine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and then to gr...

A fully oriented person is - Oriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls - The PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feeling when rising from a lying position. Atopic dermatitis (Eczema) ...

  NURS263 Exam 1 (100 out of 100) Questions and Answers (Latest Update) GRADED A -Rasmussen nurses role in health assessment complete a holistic assessment - LOOK AT THE WHOLE PICTURE (meds, health, foods, family history etc assessment phase of the nursing process -gather information about patient's condition -focuses on patient and family's needs, values, and preferences -identifies key members of health care team needed -includes health history, review of systems, physical e...

PN Exit Hesi Rationales Exam with Complete Solutions A fully oriented person is ANSWER Oriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls ANSWER The PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feel...

NR 304 Health Assessment Head to Toe Assessment Final 2024 (VERIFIED) Hi, my name is (insert name) and I am a student nurse at Chamberlain University, and I have physician’s orders to perform a head to toe assessment on you which will take about 15-20 minutes, is now a good time? Patient: Yes. Me: I am going to start off with providing you with some privacy by closing off these curtains and taking care of my hand hygiene.  close curtains  perform hand hygiene  put on gloves M...

NIH Stroke ScaleHow to assess Level of Consciousness? - correct answer 1a. Determine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open an...

How to assess Level of Consciousness? - 1a. Deteremine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and then to g...

A fully oriented person is correct answersOriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls correct answersThe PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feeling when rising from a lying position. ...